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Trigger fingers and tenosynovitis in the hand and wrist can require: Partial release of tight tunnels Partial flexor tendon excision (removal) in the finger Tenosynovectomy to prevent tendon ruptures Joint Rebalancing In the early stages of rheumatoid arthritis, joints, especially the small joints of the hands and fingers, can become loose and unbalanced, causing deformities and contractures (when the tissue becomes stiff, constricted, and/or shortened) that interfere with function